Job Description

Monitor Clinical Quality and Conduct Training by regularly assess clinical quality through audits and observations, Identify areas for improvement and develop training programs accordingly and ensure staff are trained on the latest clinical practices and protocols. Maintain documentation and quality standards as per NABH guidelines, coordinating with various departments to address and close any gaps identified during audits, conduct training sessions to ensure all staff are aware of NABH requirements and by continuously monitor and improve compliance with NABH standards. Ensure all clinical operations comply with statutory regulations by staying updated on changes in healthcare laws and regulations and by implementing necessary changes to maintain compliance. Organize and conduct regular committee meetings, maintain accurate records and minutes of meetings (MOM) by ensuring adherence to the committee meeting calendar and follow up on action items from meetings to ensure timely completion. Coordinate with consultants for tumor board meetings and collect and organize case submission forms for discussion ensuring smooth conduct of tumor board meetings. To make rounds for monitoring relevant areas and submit a report on the observations along with the suggestive corrective actions to the department HODs. Monitor and Guide the Team by supervising and supporting the nursing staff, Radiation Safety Officer (RSO), technologists, and technicians and provide guidance and mentorship to ensure high standards of patient care addressing any issues or concerns raised by the team. Plan and execute regular mock drills to test emergency preparedness by analysing the outcomes of drills and identify areas for improvement, implement changes based on drill analysis to enhance emergency response. Regularly meet with consultants to understand their challenges and requirements. Intervene and provide solutions to address any issues faced by consultants and foster a collaborative environment to ensure effective consultant engagement. Liaise with the corporate quality team to organize training sessions for consultants and Resident Medical Officers (RMO) and ensure that all clinical staff are up to date with the latest quality standards and practices. Manage relationships with outsourced clinical service providers and ensure that outsourced services meet the hospital's quality and compliance standards and address any issues or gaps in service delivery and work towards continuous improvement. Implement and monitor clinical protocols and guidelines. Schedule and manage visiting consultants' appointments, facilitate communication between visiting consultants and hospital staff and ensure visiting consultants have the necessary resources and support. Oversee the payout process for visiting consultants and ensure accurate and timely payments as per agreed terms by maintaining records of consultant services and payments. Oversee the implementation and maintenance of EMR systems by ensuring accurate and secure documentation of patient records and training staff on EMR usage and troubleshoot any issues. Oversee day to day operations and administration of the hospital. Review, analyze, and evaluate business / clinical procedures. Implement organizational policies and procedures to improve day-to-day operations. Ensure patient care areas across the Hospital are adequate and safe. Manage interdepartmental communication; resolve disputes and / or operational working issues. Monitor and ensure service / clinical excellence across the Hospital. Train and monitor all team members continuously on the process flow, communication, grooming and handling patient care issues. Develop, implement, and monitor day-to-day operational systems and processes to provide visibility into the goals, progress, and obstacles of key initiatives. Draw on relationships with department heads, external partners, and vendors to make decisions regarding operational activity and strategic goals Plan, monitor, and analyze key metrics for day-to-day operations to ensure efficient and timely completion of tasks. Devise strategies for ensuring the growth of programs enterprise-wide and implement process improvements to maximize output and minimize costs. Adhere to the companys policies and standards and ensure that laws and regulations are being followed. Ensure the facilities meet government regulations and environmental health and security standards. Work closely with Human Resources to lead the team with integrity and to establish and maintain a trusting, inclusive, and productive environment. Maintain patient satisfactory levels as per the desired hospital standards by reviewing patient feedback and ensuring issues are addressed promptly. Identify opportunities for improving the patient experience and patient care services. Monitor patient data capture for completeness for quality and improvement purposes. Collect daily feedback from team members via daily meetings and address the issues. Prepare and send reports to the management in the prescribed formats at defined frequency. See that all patient care activities are in place, follow the protocols set by the management.